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级联酶催化支持的饥饿与光动力协同治疗乳腺癌

Cascade Enzyme Catalysis Supported Starvation and Photodynamic Synergistic Therapy for Breast Cancer.

作者信息

Liu Baoqing, Huang Xu, Shi Xiandong, Lei Yuping, Li Xu, Zhang Jingyi, Luan Yanfei, Zhai Wenhao, Zhou Jiahong, Zhou Xiang

机构信息

College of Life Sciences, Nanjing Normal University, Nanjing 210023, China.

Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing 210028, China.

出版信息

Biol Pharm Bull. 2025;48(6):908-918. doi: 10.1248/bpb.b25-00111.

Abstract

Herein, we present the rational design and development of an innovative nanoplatform for synergistic breast cancer therapy through cascade enzymatic reactions, integrating starvation therapy (ST) and photodynamic therapy (PDT). The system is constructed based on biocompatible calcium phosphate (CaP) nanoparticles, which function as nanocarriers for the photosensitizer indocyanine green (ICG), a critical agent for PDT. To overcome the clinical limitations of hypoxia-induced ICG inactivation, we engineered a sequential enzymatic system by co-immobilizing glucose oxidase (GOX) and catalase (CAT) on the CaP surface, followed by encapsulation within a sodium alginate matrix to prevent premature drug degradation. Systematic characterization demonstrates that the as-prepared nanosystem (denoted as ICG/CaP@GOX-CAT@SA) not only maintains excellent biocompatibility but also achieves tumor-specific accumulation through the enhanced permeability and retention effect, subsequently undergoing lysosomal degradation in tumor cells. Mechanistic investigations reveal that the released GOX initiates ST by catalyzing glucose depletion in the tumor microenvironment, while the simultaneously produced hydrogen peroxide is effectively converted to oxygen (O) by CAT, thereby ameliorating tumor hypoxia and maintaining sufficient O levels for ICG-mediated PDT. This cascade enzymatic nanoplatform, which orchestrates the sequential reactions of GOX and CAT to synergistically enhance ST and PDT, demonstrates significantly improved anti-tumor efficacy both in vitro and in vivo, offering a promising paradigm for combinatorial cancer therapy.

摘要

在此,我们展示了一种创新纳米平台的合理设计与开发,该平台通过级联酶促反应实现协同乳腺癌治疗,整合了饥饿疗法(ST)和光动力疗法(PDT)。该系统基于生物相容性磷酸钙(CaP)纳米颗粒构建,其作为光敏剂吲哚菁绿(ICG)的纳米载体,ICG是PDT的关键试剂。为克服缺氧诱导的ICG失活的临床局限性,我们通过将葡萄糖氧化酶(GOX)和过氧化氢酶(CAT)共固定在CaP表面,构建了一个顺序酶系统,随后将其封装在海藻酸钠基质中以防止药物过早降解。系统表征表明,所制备的纳米系统(表示为ICG/CaP@GOX-CAT@SA)不仅保持了优异的生物相容性,还通过增强的渗透和滞留效应实现肿瘤特异性积累,随后在肿瘤细胞中经历溶酶体降解。机理研究表明,释放的GOX通过催化肿瘤微环境中的葡萄糖消耗引发ST,而同时产生的过氧化氢被CAT有效地转化为氧气(O),从而改善肿瘤缺氧并维持足够的O水平用于ICG介导的PDT。这种级联酶纳米平台协调GOX和CAT的顺序反应以协同增强ST和PDT,在体外和体内均显示出显著提高的抗肿瘤疗效,为联合癌症治疗提供了一个有前景的范例。

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